HomeMy WebLinkAboutPL 1978-1406 New Single Family "1
FEE SCHEDULE Permit No. 1 q CAP
CITY BLDG. =00 CITY OF OAK PARK HEIGHTS Plan No.
STATE SURCHARGE t WO (For Dept.use only)
BLDG. PERMIT ..1'SD
CITY UTILITY p
EXTERNAL PLBG. APPLICATION FOR PERMIT
METRO S.A.C. r� (�
UTILITY CONNECTION Vat '", > 191
TOTAL AMOUNT DUE I. c _ _ _ /
STRUCTURERE/USSEED�A�S�
REFRG HANG
MARK BUILD PLB. HEAT INSTALL ALTER REPAIR REROOF RESIDE MOVE WRECK SIGN
SQUARES 1 I^I
By X I
� ,` i
Owner n.ri )11-"-'x' Address 6`t , ' 1
Architect Address I
General Contractor " 0— —(�..�" AA—Q....., Address k..0. 0y\.YiC. �
Contractor Reg. No. 0_Stil_ C,yAQQ 5rj
NUMBER STREET SIDE BETWEEN WHAT CROSS STREETS
LOT BLOCK ADDITION OR TRACT
5- 3a1.-,4 `tom Ccs
WIDTH DEPTH SIDE LOT CLEARANCE FRONT BUILDING LINE
LOT
WIDTH LENGTH HEIGHT NO OF STORI ES TYPE OF CONSTRUCTION ESTIMATED VALUE
STRUCTURE
BASEMENT 0
YES DETAILS OR REMARKS:
0 NO
The undersigned hereby makes application for a permit to do Building Work as herein specified,agreeing to do all work in strict accordance with
all ordinances of the City of Oak Park Heights.Contractors must register with the village before permit can be issued.
OWNER'CONTRACTOR SIGNED
OK'D BY